Laparoscopic Nissen fundoplication: technique and preliminary results

Between May 1991 and November 1992, 80 consecutive patients with gastro-oesophageal reflux disease underwent laparoscopic Nissen fundoplication. The technique used was exactly the same as for the conventional open approach. There were no deaths but there were four peroperative complications: one gas...

Full description

Saved in:
Bibliographic Details
Published inBritish journal of surgery Vol. 81; no. 3; p. 400
Main Authors Cadière, G B, Houben, J J, Bruyns, J, Himpens, J, Panzer, J M, Gelin, M
Format Journal Article
LanguageEnglish
Published England 01.03.1994
Subjects
Adolescent
Adult
Aged
Female
Gastric Fundus - surgery
Gastroesophageal Reflux - surgery
Humans
Intraoperative Complications - therapy
Laparoscopy - methods
Male
Middle Aged
Postoperative Complications
Time Factors
Treatment Outcome
Online AccessGet more information

Cover

More Information
Summary:Between May 1991 and November 1992, 80 consecutive patients with gastro-oesophageal reflux disease underwent laparoscopic Nissen fundoplication. The technique used was exactly the same as for the conventional open approach. There were no deaths but there were four peroperative complications: one gastric perforation, two pleural perforations and one hepatic laceration. Three conversions to laparotomy were necessary, one because of a defective needle holder and two as a result of left hepatic lobe hypertrophy. The duration of operation ranged from 40 to 300 (median 150) min. The median postoperative stay was 3 days, but increased to 10 days in two patients who developed pulmonary infection. One major postoperative complication (necrosis of the wrap) required a laparotomy on day 8 after operation. No recurrence of heartburn has been observed and there were no instances of long-term dysphagia after surgery. These findings indicate that laparoscopic Nissen fundoplication can be performed safely if the team is well trained.
ISSN:0007-1323
DOI:10.1002/bjs.1800810327